Examinando por Materia "Maternal complications"

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(Universidad Privada Norbert Wiener, 1905-07-04) Bravo Purisaca, Yuliana Vanessa; Zambrano Pacheco, Juana Geraldine; Ayala Mendivil, Ronald Espiritu
Objective: To determine maternal and neonatal complications in active management versus expectant management of premature rupture of membranes (PROM) in pregnant women between 34 and 36 weeks of gestation at the María Auxiliadora National Hospital, from January to December 2010. Design: Descriptive retrospective cross-sectional study. Results: A total of 82.8% (82) of the patients underwent active management, while 17.2% (17) underwent expectant management. Premature placental abruption occurred in 5.1% (5) of cases: 4.9% (4) in the active management group and 5.9% (1) in the expectant management group. Chorioamnionitis occurred in 7.1% (7): 8.5% (7) in active management. Puerperal infection was found in 8.1% (8): 9.8% in active management. No cases of maternal death were recorded. Acute fetal distress was observed in 9.1% (9): 9.8% (8) in active management and 5.9% (1) in expectant management. Low birth weight was found in 42.4% (42): 43.9% (36) in active management and 35.3% in expectant management. Respiratory distress syndrome occurred in 11.1% (11): 12.2% (10) in active management and 5.9% (1) in expectant management. Neonatal asphyxia occurred in 4% (4): 4.9% (4) in active management. Neonatal infection was found in 6.1% (6): 7.3% (6) in active management. Neonatal death occurred in 1% (1): 1.2% (1) in active management. Conclusions: Active management presented more complications compared to expectant management.
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(Universidad Privada Norbert Wiener, 2017) Sánchez Lujan, Marita Masiel; Yataco Montoya, Bettsy María; Ayala Peralta, Félix Dasio
This research aimed to identify maternal and perinatal complications during vaginal delivery of macrosomic newborns at the Instituto Nacional Materno Perinatal between January and December 2016. Methodology: An observational, descriptive, and retrospective study was conducted by reviewing 139 maternal discharge records. Results: The average maternal age was 34.8 ± 3.4 years. Sociodemographic characteristics: 79.1% were cohabiting, 67.6% had completed secondary education, 81.2% were housewives, and 97.1% belonged to a middle socioeconomic status. Obstetric variables: Prenatal care was deficient in 43.1% of cases, and 24.5% received no prenatal care. Pre-gestational BMI indicated 47.5% of women were overweight, and 11.5% had a gestational age over 42 weeks. Multiparity was observed in 79.1% of cases, with fetal macrosomia and maternal obesity as the predominant risk factors. Regarding newborns, 64% were male and 36% female. Most newborns had a moderate Apgar score at one minute (76.3%) and a normal score at five minutes (61.9%). Maternal complications: The most common were postpartum hemorrhage (56.8%), dysfunctional labor (55.4%), and soft tissue tears (54.7%). Perinatal complications: The most frequent were moderate depression at birth (33.1%), acute fetal distress (30.22%), shoulder dystocia (25.9%), and other complications (10.8%).
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(Universidad Privada Norbert Wiener, 2017) Sánchez Lujan, Marita Masiel; Ayala Peralta, Félix Dasio
This research aimed to identify maternal and perinatal complications during vaginal delivery of macrosomic newborns at the Instituto Nacional Materno Perinatal between January and December 2016. Methodology: An observational, descriptive, and retrospective study was conducted by reviewing 139 maternal discharge records. Results: The average maternal age was 34.8 ± 3.4 years. Sociodemographic characteristics: 79.1% were cohabiting, 67.6% had completed secondary education, 81.2% were housewives, and 97.1% belonged to a middle socioeconomic status. Obstetric variables: Prenatal care was deficient in 43.1% of cases, and 24.5% received no prenatal care. Pre-gestational BMI showed 47.5% of women were overweight, and 11.5% had a gestational age over 42 weeks. Multiparity was observed in 79.1% of cases, with fetal macrosomia and maternal obesity as the predominant risk factors. Regarding the newborns, 64% were male and 36% female. Most newborns had a moderate Apgar score at one minute (76.3%) and a normal score at five minutes (61.9%). Maternal complications: The most common were postpartum hemorrhage (56.8%), dysfunctional labor (55.4%), and soft tissue tears (54.7%). Perinatal complications: The most frequent were moderate depression at birth (33.1%), acute fetal distress (30.22%), shoulder dystocia (25.9%), and other complications (10.8%).
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Advanced maternal age and complications maternal - fetal: Narrative Review. 2021
(Universidad Privada Norbert Wiener, 2022-08-04) Huamán Mancco, Milagros Karina; Alfaro Fernández, Paul Rubén
Objective: To describe the scientific evidence published regarding the relationship between maternal and fetal complications in advanced maternal age pregnancies. Materials and methods: Narrative review characterized as qualitative. The population consisted of 300 articles found online on maternal-fetal complications related to advanced maternal age during pregnancy, of which 270 studies were excluded, and 30 studies provided relevant information. The study utilized scientific article search engines such as Google Scholar, PubMed, Alicia Concytec, and the virtual library linked to Norbert Wiener Private University with access to ScienceDirect and Scielo. Results: Maternal complications present in women of advanced age include hypertensive disorders, gestational diabetes, premature rupture of membranes, anemia, urinary tract infections, cesarean deliveries, abortions, and postpartum hemorrhage. Regarding fetal complications found in the present study, newborns showed prematurity, low birth weight, intrauterine growth restriction, fetal death, macrosomia, Apgar score below 7, and birth trauma such as caput succedaneum. Conclusion: There is evidence in the scientific literature regarding advanced maternal age and maternal-fetal complications.
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Effect of CoV-2 infection during pregnancy.
(Universidad Privada Norbert Wiener, 2020-09-30) Alcantara Elescano, Monica Belisa; Saenz Ramírez, Ana María
Objective: To determine the effect of CoV-2 infection during pregnancy. Design: This study is a secondary investigation in the form of a systematic review. The research design was non-experimental, cross-sectional. Study setting: The study was carried out through a systematic literature review on the internet, as the phenomenon would not be studied in hospital settings due to quarantine measures imposed by the government under the COVID-19 context. Study subjects: The population consisted of 121 internet articles related to CoV-2 infection in pregnancy that met the inclusion criteria until July 2020. Instrumentation: No specific instruments were used in this study as it is a secondary study with an analytical approach. Results: In 67.1% of cases, no maternal complications due to CoV-2 infection were reported. In the remaining cases, 15.97% had pneumonia, followed by mechanical ventilation in 4% of cases, premature rupture of membranes (3.28%), Severe Acute Respiratory Syndrome in 2.53%, and admission to the Intensive Care Unit (2.53%). Premature placental detachment occurred in 0.29% of cases, 1.49% developed preeclampsia, 0.14% developed sepsis, 0.44% progressed to HELLP syndrome, and 2.23% of cases resulted in death. The results showed that in 76.16% of cases, newborns had no complications from maternal CoV-2 infection. However, 12.53% of cases showed prematurity, followed by 2.53% with low birth weight, 2.98% with fetal distress, 0.44% with asphyxia, and 0.59% with death. Abortions occurred in 4.77% of cases during the first trimester. Conclusion: CoV-2 infection causes maternal and fetal complications, but there is no vertical transmission of the virus.
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Gender-based violence in pregnant women as a risk factor for maternal and perinatal complications
(Universidad Privada Norbert Wiener, 2022-01-17) Quevedo Tafur, Fernando Marcius; Benites Vidal, Elvira Soledad
The study had a qualitative approach, as it primarily sought to interpret the data and information found, using an observational and retrospective design, categorized as a review of publications, with the purpose of impartially synthesizing various primary research studies from reliable sources. 29 scientific articles were reviewed, and most of the results indicated that the type of violence experienced by pregnant women primarily focuses on psychological, physical, sexual, and emotional violence. The most prevalent maternal complications identified were related to depressive episodes, followed by abortion, hypertensive disorders in pregnancy, and maternal death, among others. Regarding perinatal complications, the main issues were low birth weight, prematurity, inadequate APGAR score, small for gestational age (SGA), and fetal death. It can be concluded first that there is scientific evidence demonstrating that gender-based violence in pregnant women influences maternal and perinatal complications, and second, that maternal and perinatal complications lead to disorders that culminate in psychological damage, such as depression and suicide attempts, and physical damage, such as abortion.
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Maternal and perinatal complications in pregnant women with Covid-19.
(Universidad Privada Norbert Wiener, 2021-10-07) Sandoval Barrantes, Grecia Jackeline; Arone Palomino, Susana Filomena
Objective: To identify the scientific evidence regarding maternal and perinatal complications in pregnant women with COVID-19. Design: This study was a non-experimental narrative systematic review, involving an exhaustive electronic search of articles related to maternal and perinatal complications in pregnant women with COVID-19. Study setting: The systematic review selected various articles from academic databases, including systematic reviews, retrospective, prospective, cohort, and case-control studies, published between 2019 and 2021. Subjects: A total of 35 scientific articles were included in this study. Findings: Maternal and perinatal complications are the dependent variables, and COVID-19 is the independent variable. Pregnant women with pre-existing conditions, risk factors, or over the age of 35 are more likely to be hospitalized, often resulting in pregnancy termination, which can be harmful before 37 weeks of gestation, causing prematurity, low birth weight, intrauterine growth restriction (IUGR), and neonatal pneumonia. Additionally, spontaneous abortions were observed in pregnancies during the first trimester. Pregnant women are more vulnerable to SARS-CoV-2 infection, leading to morbidity and mortality. Conclusions: Maternal complications include hypertensive disorders, placental abruption, disseminated intravascular coagulation, placenta previa, premature rupture of membranes, and spontaneous abortions. Similarly, perinatal complications include intrauterine growth restriction, prematurity, low birth weight, respiratory issues, tachycardia, bradycardia, and neonatal pneumonia.
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Maternal complications in pregnant women infected with Covid-19
(Universidad Privada Norbert Wiener, 2022-09-09) Landeo Escalante, Miriam Fiorella; Morales Alvarado, Sabrina Ynés
Objective: To systematize the evidence on maternal complications associated with COVID-19 infection in pregnant women. Methodology: A qualitative study with an observational and retrospective design, consisting of a review of original articles from the PubMed-Medline database published between 2020 and 2022. A sample of 30 articles was selected. The search algorithm used was (outcomes OR “preterm labor” OR preeclampsia OR PROM OR “maternal mortality”) AND (“covid-19” OR “SARS-CoV-2”) AND pregnancy. Results: The majority of articles were retrospective cohort studies (30.0%), published in 2021 (70%), and multinational (33.3%). The most frequently identified maternal complication was preterm birth (70%). Significant Relative Risk values were found for preterm birth (RR between 1.16 and 2.70), premature rupture of membranes (RR between 0.19 and 1.70), preeclampsia (RR between 0.88 and 2.68), and maternal mortality (RR between 1.70 and 22.3). Conclusion: COVID-19 infection is associated with maternal complications during pregnancy, especially preterm birth, premature rupture of membranes, preeclampsia, and maternal mortality.
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Maternal-perinatal complications associated with insufficient prenatal care in pregnant women treated at the Hipólito Unánue National Hospital, 2019.
(Universidad Privada Norbert Wiener, 2021-03-25) Torres Espinoza, Sharo Dalicxa; Ayala Peralta, Félix Dasio
Materials and Methods: The study was analytical, observational, retrospective, with a cohort design, involving a sample of 200 perinatal medical records from the Hipólito Unanue Hospital. Results: The most frequent age range was between 20 and 34 years, representing 75%. Regarding marital status, 74% were cohabiting, 69% had studied up to secondary school, and 77% were housewives. Regarding the number of prenatal visits, it was found that 15% of pregnant women had 5 prenatal visits, 10.5% had 4 visits, and 8% had no prenatal care. Regarding maternal complications, it was determined that pregnant women with insufficient prenatal care had higher levels of significance for urinary tract infections (p=0.045), anemia (p=0.000), and preeclampsia (p=0.024). However, no significant association was found for perinatal complications (p>0.05). Conclusion: There is a significant association between maternal complications and insufficient prenatal care, such as urinary tract infections, anemia, and preeclampsia. However, according to this study, no significant association was found with perinatal complications.
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Maternal-perinatal complications in a pregnant woman with pulmonary tuberculosis treated at the Santa Rosa - Pueblo Libre hospital, 2020
(Universidad Privada Norbert Wiener, 2022-12-01) Bendezu Rivera, Rosemary Caroline; Ayala Peralta, Félix Dasio
The study is an observational, descriptive, retrospective case review of a pregnant woman with pulmonary tuberculosis, treated at Santa Rosa Hospital – Pueblo Libre in 2020. The case involves a 29-year-old pregnant woman who presented to the emergency department with contraction-like pain, respiratory difficulty, and tachypnea, diagnosed as a second pregnancy at 32 weeks of gestation by ultrasound, with threatened preterm labor, respiratory sepsis with suspected tuberculosis or pneumonia, chronic malnutrition, and mild anemia. A decision was made to terminate the pregnancy via cesarean section. The newborn was female, weighing 1735 grams, measuring 42 cm, with an Apgar score of 8 at one minute and 9 at five minutes, and a gestational age of 33 weeks according to Capurro. After a series of tests, the patient was diagnosed with pulmonary tuberculosis and was hospitalized for six days, starting treatment with Scheme 1. The maternal complications in this case were: preterm birth, anemia, chronic malnutrition, and respiratory sepsis; while the perinatal complications were prematurity and low birth weight.
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Premature rupture of membranes in preterm labor associated with maternal complications in the Sergio E. Bernales support hospital, Lima, year 2017
(Universidad Privada Norbert Wiener, 2022-11-04) Cruz Rios, Natalia Luz; Tapia Nuñez, Walter Enrique
Objective: To describe the management of a clinical case of premature rupture of membranes in preterm labor associated with maternal complications. Material and methods: An observational, descriptive retrospective study, reviewing the perinatal clinical history of a case of PROM in preterm labor at a public health facility in Lima during February 2017. Results: The predominant symptom was the loss of amniotic fluid for more than 48 hours. Pulmonary maturation was performed with betamethasone. Antepartum antibiotic therapy with intravenous cefazolin was administered. During the first stage of labor, fever, tachycardia, leukocytosis, and fetal tachycardia occurred, which led to the termination of the pregnancy via cesarean section, resulting in a live newborn weighing 2585 g, meconium-stained, with a gestational age of 39 weeks. Broad-spectrum antibiotic therapy with intravenous ceftriaxone + gentamicin + clindamycin was used post-cesarean. During the postoperative period: wound infection, endometritis, and pelvic peritonitis developed, requiring total abdominal hysterectomy. Conclusion: Prolonged PROM in preterm pregnancy is an important risk factor for maternal morbidity due to causing chorioamnionitis, endometritis, pelvic peritonitis, and wound infection; additionally, the maternal evolution was slow, progressing to acute surgical abdomen, leading to total hysterectomy, resulting in a prolonged hospital stay.
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Refocused prenatal care and maternal complications during pregnancy in pregnant women attended at the National Hospital Hipólito Unanue from January to June 2019
(Universidad Privada Norbert Wiener, 2020-08-31) Castillo Ortiz, Marlith Veronica; Reyes Serrano, Bertha Nathaly
To determine the relationship between focused prenatal care and maternal complications during pregnancy. This study employed a quantitative approach, retrospective type, non-experimental design, cross-sectional, with a relational scope. The sample consisted of 200 medical records of pregnant women who gave birth at the National Hospital Hipólito Unanue between January and June 2019. The documentary research technique was applied, using an instrument that collected data on the evaluation of focused prenatal care and maternal complications during pregnancy. A total of 117 pregnant women (58.5%) did not receive focused prenatal care, while 83 women (41.5%) did. Among those who did not receive focused prenatal care, 46 (39.3%) had a urinary tract infection during pregnancy, making it the most common maternal complication, followed by anemia in 28 women (23.9%). It was demonstrated that there is a significant relationship between focused prenatal care and maternal complications during pregnancy (x²=45.495; p=0.000), indicating that focused prenatal care is an effective intervention in reducing maternal-perinatal morbidity and mortality among pregnant women treated at the National Hospital Hipólito Unanue.
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Relationship between gender-based violence and maternal complications in adolescents versus adults, treated at the Hipólito Unanue hospital, Lima 2019
(Universidad Privada Norbert Wiener, 2020-09-23) Huamani Segovia, Alexsandra Isabel; Marín Guevara, Leticia Gloria
The frequency of psychological violence was 50% among pregnant adolescents and 51.9% among adults. Physical violence occurred in 41.6% of pregnant adults and 30% of adolescents. Meanwhile, sexual violence was reported in 20% of pregnant adolescents and 6.5% of adults. Maternal complications in pregnant women included hyperemesis gravidarum in 28.6% of adults and 15.6% of adolescents. The threat of miscarriage was present in 31.4% of adolescents and 18.2% of adults. Anemia occurred in 29.9% of adults and 21.4% of adolescents. Preeclampsia affected 36.4% of adults and 18.6% of adolescents. There is a significant relationship between psychological violence and the threat of miscarriage (p=0.046) and preeclampsia (p=0.021); between physical violence and the threat of miscarriage (p=0.049) and preeclampsia (p=0.020); and between sexual violence and anemia (p=0.046).
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Risk factors associated with maternal complications in adolescent pregnancy“
(Universidad Privada Norbert Wiener, 2021-09-08) Linares Cherres, Giovanna Licet; Sanz Ramirez, Ana María
Objective: To systematize evidence on risk factors associated with maternal complications in adolescent pregnancy. Materials and Methods: The study is a systematic review that included a total of 385 indexed articles selected from databases such as PubMed, Scielo, LILACS, and ScienceDirect. These articles were rated using the GRADE system, resulting in a final sample of 30 articles corresponding to studies with observational analytical designs, including case-control studies, systematic reviews, meta-analyses, randomized controlled trials, descriptive cross-sectional studies, and transversal studies, employing statistical tests such as Relative Risk (RR) and Odds Ratio (OR). Results: Sociodemographic factors associated with maternal complications in adolescent pregnancy included marital status, educational level, socioeconomic status, age, rural areas, and occupation. Psychological factors included intimate partner violence, depression, anxiety, and feelings of shame. Obstetric factors included lack of prenatal care, type of delivery, and complications such as preterm birth, hypertension, low birth weight, anemia, and threat of preterm labor.